Archive for June, 2012|Monthly archive page

“Bundles are a set of processes of care that, when instituted as a group, provide more robust results than when each process is instituted individually. This is particularly true when components interact with each other synergistically or when partial execution fails to achieve the desired result.Institutions are being asked to implement bundles and to measure adherence to them as part of their quality measures. “Credit” for delivering each component can only be obtained if the entire bundle is executed correctly. In other words, credit for delivery is all or none.
For a bundle to be effective, each component must have an explicit rationale. There should be a logical relationship between the elements (additive and not antagonistic), and there should be strong evidence showing either that each component improves the targeted outcome or that the entire bundle when applied together improves outcomes”

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Excellent patient safety resources from the folks at University of Illinois at Chicago.
Their blog:http://transparenthealth.wordpress.com/
There is a great post about collusion. If you see safety issues in healthcare and do not report, you should feel culpability.

Their educational sitehttp://www.transparentlearning.com/
If you are a healthcareworker, spend the $75 and Watch the Lewis Blackman story. You will be motivated to become a patient safety advocate. Lewis who was a totally healthy 15 year old, went in for elective surgery and died from a GI bleed related to toradol post op. The sequence of events happen everyday…there is nothing earthshattering until..there is.
Some key topics in this film: premature closure, confirmation bias, rapid response teams, chain of command, identification of rank of healthcare workers…listening to parents concerns..Click to purchase pay-per-view From tears to transparency

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About this blog: You’ve heard of Leapfrog now there’s SafetyDog!

This blog will merge ideas from management, nursing, medicine and psychology (and many others) to offer a different view of patient safety. The author has a Masters in Industrial-Organizational Psychology, a graduate certificate in Error Science and Patient Safety and also a BSN in Nursing and has worked as an RN since 1985. All comments are welcome..you never know when one of your thoughts might save a life!

Patient Safety

IOM
Institute of Medicine..their 1999 report “To Err is human” started it all.

Leap Frog Group
The Consumer Reports for hospitals. Encouraging transparency and comparison of quality and safety.

ISMP
Institute for Safe Medication Practices. If you are looking for information on safe medication practices (and unsafe ones) they have great newsletters and other resources.

IHI
The Institute for Healthcare Improvement has an entire section on patient safety.

AHRQ
The Agency for Healthcare Research and Quality. Great site from the Department of Health and Human services. Contains research articles and safety guidelines and tools. The link is to Patient safety net

Healthcare Quarterly
Best practices and peer reviewed articles. Editor is a PhD from the University of North Carolina.